Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting
Purpose: The Kodiak Area Native Association (KANA) provides primary health care in Kodiak, Alaska and 6 outlying villages. KANA sought to actively improve key preventive screening rates for its patients. Methods: KANA adopted an electronic health record in 2008 and deployed national clinical reminde...
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Language: | English |
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Online Access: | http://dx.doi.org/10.1177/2150131913496116 http://journals.sagepub.com/doi/pdf/10.1177/2150131913496116 http://journals.sagepub.com/doi/full-xml/10.1177/2150131913496116 |
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crsagepubl:10.1177/2150131913496116 2024-06-23T07:54:24+00:00 Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting Blueprint From a Successful Process in Kodiak, Alaska Onders, Robert Spillane, James Reilley, Brigg Leston, Jessica 2013 http://dx.doi.org/10.1177/2150131913496116 http://journals.sagepub.com/doi/pdf/10.1177/2150131913496116 http://journals.sagepub.com/doi/full-xml/10.1177/2150131913496116 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Journal of Primary Care & Community Health volume 5, issue 1, page 50-54 ISSN 2150-1327 2150-1327 journal-article 2013 crsagepubl https://doi.org/10.1177/2150131913496116 2024-06-04T06:26:35Z Purpose: The Kodiak Area Native Association (KANA) provides primary health care in Kodiak, Alaska and 6 outlying villages. KANA sought to actively improve key preventive screening rates for its patients. Methods: KANA adopted an electronic health record in 2008 and deployed national clinical reminders from the Indian Health Service for 5 key preventive screenings: tobacco use, alcohol use, depression, intimate partner violence, and a comprehensive cardiovascular exam. Clinical reminders were deployed in a 5-step process: ( a) establish clinical demand, ( b) pilot test reminder, ( c) expand reminder to all providers, ( d) measure outcomes and share results, and ( e) delegate clinical reminder follow-up (primarily to nurses). Results: Data from 2007-2011 show screening rates for all 5 measures improved considerably, to levels significantly above the national average for Indian Health Service facilities. Conclusions: Clinical reminders have been a key part of a multistep process to improve screening for depression, tobacco cessation, intimate partner violence, alcohol use, and cardiovascular disease. If deployed correctly, reminders are valuable tools in identifying patients who are overdue for preventive health screenings. Article in Journal/Newspaper Kodiak Alaska SAGE Publications Indian Kana ENVELOPE(33.999,33.999,67.133,67.133) Journal of Primary Care & Community Health 5 1 50 54 |
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SAGE Publications |
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language |
English |
description |
Purpose: The Kodiak Area Native Association (KANA) provides primary health care in Kodiak, Alaska and 6 outlying villages. KANA sought to actively improve key preventive screening rates for its patients. Methods: KANA adopted an electronic health record in 2008 and deployed national clinical reminders from the Indian Health Service for 5 key preventive screenings: tobacco use, alcohol use, depression, intimate partner violence, and a comprehensive cardiovascular exam. Clinical reminders were deployed in a 5-step process: ( a) establish clinical demand, ( b) pilot test reminder, ( c) expand reminder to all providers, ( d) measure outcomes and share results, and ( e) delegate clinical reminder follow-up (primarily to nurses). Results: Data from 2007-2011 show screening rates for all 5 measures improved considerably, to levels significantly above the national average for Indian Health Service facilities. Conclusions: Clinical reminders have been a key part of a multistep process to improve screening for depression, tobacco cessation, intimate partner violence, alcohol use, and cardiovascular disease. If deployed correctly, reminders are valuable tools in identifying patients who are overdue for preventive health screenings. |
format |
Article in Journal/Newspaper |
author |
Onders, Robert Spillane, James Reilley, Brigg Leston, Jessica |
spellingShingle |
Onders, Robert Spillane, James Reilley, Brigg Leston, Jessica Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting |
author_facet |
Onders, Robert Spillane, James Reilley, Brigg Leston, Jessica |
author_sort |
Onders, Robert |
title |
Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting |
title_short |
Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting |
title_full |
Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting |
title_fullStr |
Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting |
title_full_unstemmed |
Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting |
title_sort |
use of electronic clinical reminders to increase preventive screenings in a primary care setting |
publisher |
SAGE Publications |
publishDate |
2013 |
url |
http://dx.doi.org/10.1177/2150131913496116 http://journals.sagepub.com/doi/pdf/10.1177/2150131913496116 http://journals.sagepub.com/doi/full-xml/10.1177/2150131913496116 |
long_lat |
ENVELOPE(33.999,33.999,67.133,67.133) |
geographic |
Indian Kana |
geographic_facet |
Indian Kana |
genre |
Kodiak Alaska |
genre_facet |
Kodiak Alaska |
op_source |
Journal of Primary Care & Community Health volume 5, issue 1, page 50-54 ISSN 2150-1327 2150-1327 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/2150131913496116 |
container_title |
Journal of Primary Care & Community Health |
container_volume |
5 |
container_issue |
1 |
container_start_page |
50 |
op_container_end_page |
54 |
_version_ |
1802646549656764416 |